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NPI Code Detail

MEDICARE: MR. DANNY R ENGLE PA

MEDICARE: MR. DANNY R ENGLE PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA9102815FL
2363A00000XPhysician Assistant7929GA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00903176OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326042714
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANNY R ENGLE PA
Provider Business Mailing Address
First Line : 3334 CAPITAL MEDICAL BLVD STE 400
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4470
Country : US
Telephone Number : 850-877-8174
Fax Number : 850-877-5636
Provider Business Practice Location Address
First Line : 333 N BYRON BUTLER PKWY
Second Line :
City : PERRY
State : FL
Zip : 32347-2300
Country : US
Telephone Number : 850-584-0241
Fax Number : 850-584-7037
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 01/26/2017

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